Information

AUDITOR:

  • Project Name:

  • Contract No.

  • Job No.

  • Client

  • Contractor

  • Date and Time of Audit

  • Prepared by

  • Location
  • Type of Work/Activity:

  • Personnel

GENERAL

  • Is the site attended?

TRAFFIC MANAGEMENT

  • Are the TTM measures set up as per the Generic TMP for cyclic/OPEX works?

  • Is the implemented TTM Plan the correct one for the road and time?

  • Does TTM manage pedestrians and mobility scooters?

  • Is the onsite STMS suitably qualified?

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SITE SPECIFIC SAFETY PLAN

  • Has the Site Specific Safety Plan and Hazard ID been completed for the site and proceeding sites? (One per day)

  • Has the information on the JSEA been utilised on the Site Specific Safety Plan?

  • Have appropriate control methods been listed for the hazards evident on the site?

  • Have significant hazards for the site and activities been identified?

  • Has appropriate plant been listed for the works?

  • Has appropriate signage been listed for the works?

  • Has appropriate PPE been listed for the works?

  • Does the Leading Hand/Supervisor show competency in completing Site Specific Hazard ID?

  • Have the site crew been inducted and signed off to the Site Specific Safety Plan and Hazard ID?

  • Is there evidence that site visitors have been inducted onto the site?

  • Has works equipment been placed in a safe location on site from public and traffic?

  • Has works vehicles been parked in a safe location taking onto account traffic and pedestrians?

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ENVIRONMENTAL

  • Are relevant Resource Consents if any available on site?

  • Are relevant Resource Consent conditions being complied with?

  • Has environmental issues and controls been listed and discussed on the Site Specific Safety Plan?

  • There is no evidence that machinery, vehicles or materials have been stored on top of permeable drip line area of any tree or work has adversly affected any tree (unless authorised by an arborist)?

  • Are catch pit/drain protection measures in place?

  • Are silt control measures in place (if required)?

  • Are controls in place to manage flooding during the works (if required)?

  • Do storm water flooding discharges (if any) meet Resource Consent conditions?

  • Where the site is empty or idle, has the site been secured against environmental discharges (e.g. has exposed ground been stabilised)?

  • Has control measures been put in place to prevent discharge of concrete run off entering stormwater drains/catch pits or fresh water or marine areas?

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PPE

  • Are all PPE and equipment being worn as per the Hazard ID and Site Specific Safety Plan?

  • Is PPE being worn correctly?

  • Is PPE in good and serviceable condition?

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EMERGENCY EQUIPMENT

  • First aid kit is available on site?

  • First aid kit is fully stocked and no with expired items?

  • First aid training is up to date?

  • First Aider is known?

  • Fire extinguisher(s) is available?

  • Fire extinguisher is in serviceable condition with current lable?

  • Site Warden is known?

  • Site Warden has been suitably trained?

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The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.